Question 1

I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?

Accepted Answer

Based on your symptoms and the presence of myocardial bridging in your proximal LAD, it is important to address the ongoing chest pain you are experiencing. Since your cardiologist has already reviewed your case and deemed it not concerning, you may benefit from medication to help alleviate your symptoms. I recommend starting a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, and gradually increasing as needed under the guidance of your doctor. Additionally, you can also consider taking a nitrate medication like Isosorbide Mononitrate (Imdur) to help with chest pain relief during physical activity. It is important to follow up with your cardiologist for further evaluation and management.

Question 2

I'm feeling really worried about some symptoms I've been experiencing. I've been having mild chest pain in both my chest and some pain in my shoulder and back when I'm at rest. My ECG showed WPW, but my echocardiogram came back normal. The doctor men...

Accepted Answer

Mild chest pain in both the chest while resting and shoulder and back pain, ulcer and anxiety. ECG found WPW and echo normal. Doctor said nothing to worry. Symptoms are non-cardiac but in routine test TMT test came positive, conclusion in report was ST depression ischemia. My overall cholesterol is 139, HDL 33, and LDL 103. Is there some risk as per my age? What to do? I am really worried a lot. I have no pain while working or walking. Based on your symptoms and test results, it is important to address the positive TMT test with ST depression ischemia. This could indicate a risk of heart disease, especially with your cholesterol levels. To manage this condition, you can start taking a medication like Atorvastatin (Lipitor) 20mg to help lower your LDL cholesterol levels and reduce the risk of heart-related issues. Additionally, considering your anxiety and chest pain, you can take medications like Pantoprazole (Protonix) 40mg for ulcer symptoms and an anti-anxiety medication like Lorazepam (Ativan) 0.5mg to help with anxiety symptoms. It is also recommended to follow up with your doctor for further evaluation and management. Regular exercise, a healthy diet, and stress management techniques can also help improve your overall health and reduce the risk of heart disease.

Question 3

I've been having some issues lately. I'm a 33-year-old guy, and when I'm just resting, my heart sometimes races up to 120-130 beats per minute. I had an ECG, and they said it's sinus tachycardia, but my echocardiogram came back normal. Even though te...

Accepted Answer

Based on your symptoms of palpitations and feeling flurried when your pulse is high, it sounds like you may be experiencing symptoms of anxiety or panic attacks. To help manage these symptoms, I recommend taking Propranolol (Inderal) 10-40mg as needed to help control your heart rate and reduce the feelings of flurriness. Additionally, practicing relaxation techniques such as deep breathing exercises or mindfulness meditation may also be beneficial in managing your symptoms.

Question 4

Why do I get this pain in my chest on the left side when I climb stairs or even shout? I've done all the tests like ECG, Echo, TMT, and CT angio, and they all came back normal. The CT showed no blockage but mentioned deep myocardial bridges. My cardi...

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety or panic attacks, which can manifest as chest pain and other physical symptoms. The Beta Block medication prescribed by your cardiologist can help manage these symptoms by reducing the effects of adrenaline on your body. In addition to the medication, it may be helpful to practice stress-reducing techniques such as deep breathing exercises, mindfulness, and regular physical activity. If these symptoms persist or worsen, it would be advisable to follow up with your cardiologist for further evaluation and possibly a referral to a mental health professional for additional support. Remember to take your Beta Block medication as prescribed and try to incorporate stress management techniques into your daily routine to help alleviate your symptoms.

Question 5

I'm 33 and just got my cholesterol levels checked. My total cholesterol is 246 mgdl with HDL at 40 mgdl, LDL at 179 mgdl, triglycerides at 186 mgdl, VLDL at 37.2 mgdl, and non-HDL at 206.5 mgdl. I'm kinda worried about these numbers. Do you think I s...

Accepted Answer

Based on your cholesterol levels, it appears that your LDL cholesterol is high at 179mgdl. Considering this, it would be advisable to start medication to help control your cholesterol levels and reduce the risk of heart disease. I recommend starting a statin medication such as Atorvastatin at a dosage of 20mg daily. Additionally, incorporating lifestyle changes such as a healthy diet and regular exercise can also help in managing cholesterol levels.

Question 6

I've been wondering about how long it might take for the heart to heal after getting a stent in the main artery at age 48. If the person isnt an alcoholic or diabetic, follows a vegetarian diet, eats very little fast food, but does consume dairy prod...

Accepted Answer

For most people, stent implantation recovery is fairly quick, with initial healing taking about 4 to 6 weeks and full recovery occurring over the course of 3 to 6 months. Since the person in question has a generally healthy lifestyle and no major risk factors, their recovery should be smooth, but they will still need to follow their cardiologists advice regarding diet, exercise, and medication.

Its essential to maintain a healthy diet, continue taking prescribed medications, and regularly follow up with the cardiologist. The doctor will provide personalized advice on when to resume more intense activities, based on progress.

I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?

I've been having chest pains and I got a CT angio which showed myocardial bridging of my proximal LAD at 1.8 cm. My cardiologist said everythings fine and not to worry, but I still get regular chest pains, especially when walking or climbing stairs. What do you think I should do about this?

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Related Questions

I'm feeling really worried about some symptoms I've been experiencing. I've been having mild chest pain in both my chest and some pain in my shoulder and back when I'm at rest. My ECG showed WPW, but my echocardiogram came back normal. The doctor men...

I've been having some issues lately. I'm a 33-year-old guy, and when I'm just resting, my heart sometimes races up to 120-130 beats per minute. I had an ECG, and they said it's sinus tachycardia, but my echocardiogram came back normal. Even though te...

Why do I get this pain in my chest on the left side when I climb stairs or even shout? I've done all the tests like ECG, Echo, TMT, and CT angio, and they all came back normal. The CT showed no blockage but mentioned deep myocardial bridges. My cardi...

I'm 33 and just got my cholesterol levels checked. My total cholesterol is 246 mgdl with HDL at 40 mgdl, LDL at 179 mgdl, triglycerides at 186 mgdl, VLDL at 37.2 mgdl, and non-HDL at 206.5 mgdl. I'm kinda worried about these numbers. Do you think I s...

I've been wondering about how long it might take for the heart to heal after getting a stent in the main artery at age 48. If the person isnt an alcoholic or diabetic, follows a vegetarian diet, eats very little fast food, but does consume dairy prod...

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